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<br />GENERAL INSTRUCTIONS FOR THE SF~2"
<br />
<br />This is a standard form used by applIcants as a required facesheet for preapplications and applications submitted in accordanc
<br />-with OMS Circular A-102. It will be used by Federal agencies to obtain applicant certification that states which have established
<br />review and comment procedure in response to Executive Order 12372 and have selected the program to be 'included in the
<br />process have been given an opportunity to review the applicant's submission,
<br />
<br />APPLICANT PROCEDURES FOR SECTION
<br />
<br />Applicant will complete all Items In Section I wllh the excepllon of Box 3, "Slate A¡..pllcatlon Identifier." II an Item IS not applicable, W( te "NA " If additIonal spac
<br />'eded, Insert an asterisk ". .tj1Jse Section IV An explanation fOllows for each Item:
<br />
<br />8.
<br />9,
<br />1c,.
<br />11.
<br />
<br />\S'
<br /><:.-
<br />oJ' .<-. .()
<br />, .()
<br />~ <
<br />9 ~
<br />oJ' ~
<br />~ ~
<br />C'1--
<br />;.. )-.
<br />/ -9
<br />0 (
<br />1--
<br />oJ'
<br />
<br />Item
<br />1
<br />
<br />6b.
<br />,
<br />
<br />Mark appropnat..
<br />OMB Circula'
<br />Ihls form ;>
<br />nOI reqUIre,
<br />
<br />Applicant's ow.
<br />
<br />Date SectIon I IS ~.
<br />
<br />Number assIgned by ,
<br />
<br />Date assigned by Siale
<br />
<br />Legal name o.f appllcanl, Man.
<br />undertake the ass IS lance activi.
<br />name and telephone number 01 .
<br />Information abOul thIS request. .
<br />
<br />Employer Idenlrllcatlon Number (EIN) v.
<br />Internal Revenue Service.
<br />
<br />Use Catalog 01 FeCleral Domestic Assistance \
<br />10 program under whiCh assistance IS reque!>
<br />program (e g , Joint lundlng). check "multiple" aI,
<br />IV. II unknown., cite PubliC Law or US Coae
<br />
<br />Program IIIIe Irom CFDA Abblevlale If necessary.
<br />
<br />Use Section IV 10 prOvide a summary descrIption of th(:
<br />approprlale, I e.. " prOject affects particular SlleS as, lor ..
<br />construction or real property pro¡ects, allacn a map shCWil,.
<br />prOject lOcation.
<br />
<br />"City" Includes lawn, 10wnShip or olher munlClpalily.
<br />
<br />Lisl only largest um! or unitS affected, such as Slate, county. or City.
<br />
<br />Estlmaled number of persons dtrectly ~nehllng trom prOJect.
<br />
<br />CI'Ieck Ihe lyPt!(S) of aSSiSlance requested
<br />
<br />A BasIc Grant-an ollglnalleQuest for r-ed~ral funos.
<br />
<br />a Supplemental Granl-a reQuesllo Increase a basIc grant In certain
<br />c.ases where the eligIble apPliCant cannot suPPly Ihe required
<br />marching share of tne basIc Feaeral program (e g.. grants awarded
<br />by the Appalachian R~glonal C,JmmiSSlon 10 prOvide the appllcanl
<br />a matching Share).
<br />
<br />E. Other Explain In Secllcn IV
<br />
<br />Amount reQuested or to De COn1hOuled durang the hrSl funding/budget
<br />perloo by each COl1!lIburor Value 01 In-kino conlllbultons ShOuld oe
<br />inc!uOed rl Ine action 1$ a change In dollar amOunt of an existing grant
<br />
<br />20
<br />
<br />Appllcanls WIU always compiele ellher Item 22a or 22b øn: Ilems 23a and 230,
<br />
<br />22a. Complele '11 applicatIon 1$ sub!ect 10 Executive Order 12372 (Slate 22b
<br />reView and comment) 23a
<br />
<br />'n and apphcatlon are desCl1bed In
<br />'ney program InseruCllons. Use of
<br />'e Ol)llon federal agencies do
<br />
<br />Item
<br />
<br />13b.
<br />
<br />(a reVI"lon or augmentation under ilem 14). Indlcaee onry the amount a
<br />the change. For decreases, enclo.se the amount In parenlheses II botr
<br />basIc and supplemental amounts are Included, breakoulln Secllon IV
<br />For multiple program funding. use totals and show program breakoul~
<br />In Section IV. 12a-amounl requested from Federal Government
<br />t2tr-amounl applicant will contllbule 12c-amounl Irom State, Ii
<br />applICant IS not a State. 12d-amount from local government, ¡f
<br />applicant IS nOl a local government. 12e-amounl from any other
<br />sources, explain In SectIon IV.
<br />
<br />The dlstricl(S) where mOSI of aCllon work will be accomplished II city-
<br />wide or State-wide. covellng several distriCtS, wille "Clty-wloe" or
<br />"Slale-wlde."
<br />
<br />A. New. A submlnal for prOJect nOI previously lunded.
<br />
<br />a, Renewal. An extenSion for an addItional funding/budgel pertOd for a
<br />prOjeCt having no pro ected Complelton date, bul tor which Federal
<br />support musl be renewed each year.
<br />
<br />C. ReviSIOn. A modiflcallon to prOlect nature or scope which may result
<br />in lundlng change (Increase.er decrease).
<br />
<br />O. COnllnuallOl1. An extension lor an addlt\onallund¡ngll:>udge\ pei1oá
<br />for a proJect with a proJected completion oate.
<br />
<br />'ugmenlabon. A requlfement lor additional fundS for a prOlect
<br />'lOuSIy' awarded funds In tne same lunCllng/budgel peflod.
<br />'I nature and scope unchanged.
<br />
<br />dale profect expected 10 begIn (usually associaleo with
<br />"If availabilIty of fundIng),
<br />
<br />"II monlhs 1O complete projecl after Federal lunds
<br />
<br />2a
<br />2b.
<br />
<br />3a.
<br />3b.
<br />
<br />4a-411
<br />
<br />-?
<br />~
<br />~
<br />~
<br />-?
<br />
<br />'I whiCh will
<br />'ant, and
<br />further
<br />
<br />14.
<br />
<br />17.
<br />\8.
<br />
<br />/
<br />1--
<br />\S'
<br />;..
<br />// ...p
<br />/ <:.-
<br />C"
<br />;..
<br />/
<br />0
<br />1-
<br />oJ'
<br />
<br />Of form contal:'!s
<br />
<br />5.
<br />
<br />;..
<br />",.. 0
<br />0
<br />^
<br />
<br />/
<br />
<br />.,s (Item 14c), or augmenlatlons (Ilem 14e).
<br />
<br />m must be submlned 10 Federal agency
<br />, conSlOeratlol'l.
<br />
<br />6a.
<br />
<br />12.
<br />
<br />II,
<br />
<br />//
<br />
<br />19.
<br />
<br />Namt.
<br />addres:.
<br />which the.
<br />
<br />Existing Fede,.
<br />and directly reI..
<br />"Nil."
<br />
<br />Check appropltate o~
<br />remarks and/or adOlllor..
<br />
<br />, agency 10 whiCh thiS reQuesl IS
<br />'sible the name of tne ottlce to
<br />
<br />. tnls IS not a new requesl
<br />":tlon. Ctherwlse, wille
<br />
<br />21
<br />
<br />APPLICANT PROCEDURES FOR SECTION II
<br />
<br />Check II application IS not subject to E l. . 2.
<br />Name and title 01 aulhorizea represèntatlv(: ..Jf legal ap;:>licanl
<br />
<br />FEDERAL AGENCY PROCEDURES FOR SECTION III
<br />
<br />::6
<br />
<br />Applicant c;onlplelt's only Se;ljOns f dnO II Secllon III IS complet., by Federal agenCIes.
<br />
<br />27
<br />28
<br />
<br />Use 10 Icenhl'y award act.!!".s
<br />
<br />Use Section 1',/ to amOlil)o .....nere a¡:.,ropltate
<br />
<br />Amount 10 be conlrrbuleè du""9 Ine IIISI funding/budget perrod Oy
<br />eacn contfiOutor Value ot In-kind ::;:!"tll~.Jtlons will De Incluoed. If the
<br />action IS a c"ang.e In dollar e~ounl 01 an existing grant (a revISIOn or
<br />augmentation unOer II em ~ 4). .nOlcate only Ihe amount 01 change. For
<br />decreases. enclose Ine amount In parentneses. II Ooth basIc and
<br />supplemental amounts are Inctuae.: breakout In SectIon IV For multiple
<br />program fUnding, use 10laiS and show program breakOuts In Section 'V
<br />28a-amount awardPO b\ ::ederal Go\lern~en~ .?8t).-amnu.,t aoollcan,
<br />
<br />32
<br />33.
<br />r IT'.. 7
<br />
<br />29
<br />30.
<br />31.
<br />
<br />will ContllÞule 2Bc-amou~,t Irom Slale. .t acohcan: IS nor a State
<br />28d-amount Irqm local gove'nment, If apPlicant IS ;1::;: a lo::al govern.
<br />ment 28e-amounl from a"~ olher sources. explain In Section IV
<br />Date actIon was taken on I"IS reQuest.
<br />Dale funds will oecome available.
<br />
<br />Name and leleDnone number of agency person wno car, prov'Ce m::;'e
<br />Informallon regarding this assistance.
<br />Date after whiCh fundS will no longer De available lor OOI\;a.\\On
<br />CheCk approp"ate OOx as to wnerner Section IV c~ form ::0"lla"'5
<br />:"~""" ,am",.... "~""~' ~-,-..-~..,... .....; -..-' ...--. -
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